Healthcare Provider Details

I. General information

NPI: 1497714901
Provider Name (Legal Business Name): CAROLINA WOMEN'S HEALTH ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 W HENDERSON ST STE. 300
SALISBURY NC
28144-2736
US

IV. Provider business mailing address

911 W HENDERSON ST STE. 300
SALISBURY NC
28144-2736
US

V. Phone/Fax

Practice location:
  • Phone: 704-636-9270
  • Fax:
Mailing address:
  • Phone: 704-636-9270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number39390
License Number StateNC

VIII. Authorized Official

Name: JAMES A MURPHY JR.
Title or Position: PHYSCIAN
Credential: M.D.
Phone: 704-636-9270